1.What is your Name

2.Please provide your cell# or email address for details

3.Which role interest you?

Registered Nurse

Paramedic

EMT

4.Nurses only: Do you have 6 months or more of paid Emergency Nursing experience?

Yes

No

5.Can you join us April 9th anytime between 5:30-7:30? If so, please let us know roughly when you plan to arrive? Location and details will be sent to you by cell or email. This event will NOT take place at the hospital.

6.If you are unable to join us, let us know and a recruiter will reach out to you for a call ASAP!